Agustin Alfonso Martin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME56110 Issued in FL

Practice address

1922 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6510

Phone

(813) 849-5437

Fax

(813) 849-2624

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Kids Clinic

  dba Agustin a. Martin

  • Medical Specialty Clinic/Center
  • Tampa, FL
  • NPI 1306058144
  NPD Authorized official
• All Well Pediatrics Group, P.a.

  • Pediatrics Physician
  • Lutz, FL
  • NPI 1780010512
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1235127127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15876",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336845876",
            "telephone_number": "813-849-5437",
            "fax_number": "813-849-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076510",
            "telephone_number": "813-849-5437",
            "fax_number": "813-849-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AGUSTIN",
        "middle_name": "ALFONSO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME56110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037954900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marileivys Lazara Martin Plasencia
• Yeney Martin Stevenson
• Dailany Martin Toledo
• Aaron Martin, PH.D.
• Adrian Martin, DO
• Aisha L Martin
• Alexandra Martin
• Alissa Martin
• Amber Danielle Martin, LCSW
• Amber Rebekah Martin, P.A.

• Pediatrics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.